Ke ʻike ʻia ʻoe a i ʻole kekahi o kou ʻohana me ka maʻi kanesa, he mea maʻamau ka hoihoi a me ka makaʻu iki e pili ana i ka lāʻau lapaʻau. ʻOi loa aku i ka wā e lohe ai ʻoe e pili ana i nā lāʻau lapaʻau hou, e noʻonoʻo ʻia nā nīnau e like me "He aha ka mea e hana me kēia?" a "E hana anei kēia noʻu?". I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau hou a koʻikoʻi loa i hoʻohana ʻia no ka mālama ʻana i ia mau maʻi kanesa. ʻO Durvalumab kona inoa. E kamaʻilio maʻalahi kākou e pili ana iā ia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka Durvalumab?
I ka ʻōlelo maʻalahi, he antibody ʻo Durvalumab. Akā, ʻaʻole kēia he antibody maʻamau. He antibody kēia i hana kūikawā ʻia i loko o kahi keʻena hoʻokolohua. ʻO ia ke kumu a mākou e kapa ai he Monoclonal Antibody . ʻO kāna hana nui ke kōkua i ka ʻōnaehana pale ponoʻī o ko mākou kino, e aʻo ana iā ia e ʻimi a hoʻouka i nā hunaola kanesa.
E noʻonoʻo, he pūʻali koa pale ko kākou i loko o ko kākou kino (ʻo ia hoʻi ka ʻōnaehana pale). Akā, he ʻenemi maalea loa nā hunaola kanesa. Peʻe lākou mai kēia mau pūʻali koa pale a laha i loko o ke kino ma ka hoʻopunipuni ʻana iā lākou. Hana kēia lāʻau lapaʻau i kapa ʻia ʻo Durvalumab i kēia ma ka hōʻike ʻana i kēlā mau hunaola kanesa i ko kākou mau pūʻali koa pale. Ua like ia me ka haʻi ʻana iā lākou, "Eia kahi o ka ʻenemi, e hele a hoʻouka." No laila, pili kēia ʻano lapaʻau i ka māhele o ka immunotherapy .
Hoʻohana nui ʻia kēia lāʻau lapaʻau i kēia manawa no ka maʻi kanesa māmā . I kekahi manawa hiki ke hoʻohana ʻia no nā ʻano maʻi kanesa ʻē aʻe. Hoʻoholo ʻia kēia e kāu kauka ma muli o kou kūlana. Hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo IMFINZI.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e wehewehe pono i kēia mau mea i kāu kauka, no ka mea, e hoʻoholo kēia ʻike inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole inā makemake ʻoe i kahi mālama kūikawā.
- Inā loaʻa iā ʻoe nā maʻi autoimmune: No ka laʻana, nā maʻi e like me ka maʻi Crohn, ulcerative colitis, a i ʻole lupus. ʻO kēia nā kūlana e hoʻouka ai kāu ʻōnaehana pale ponoʻī i kou kino ponoʻī.
- Inā ua loaʻa iā ʻoe a ke hoʻolālā nei paha e loaʻa kahi hoʻoili cell kumu: ʻoiai inā loaʻa iā ʻoe kahi hoʻoili cell kumu allogeneic.
- Inā ua loaʻa iā ʻoe kahi hoʻoili kino ma mua: kekahi ʻano kino e like me ka puʻupaʻa a i ʻole ke akepaʻa.
- Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau radiation ma ka umauma.
- Inā loaʻa iā ʻoe nā maʻi e pili ana i ka ʻōnaehana nerve: No ka laʻana, nā kūlana e like me Myasthenia Gravis a i ʻole Guillain-Barre syndrome.
- Inā loaʻa iā ʻoe kahi hopena alerika iā Durvalumab a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha, he mea nui loa kēia.
Mai hūnā i kekahi o kēia ʻike. He mea nui no kou palekana e ʻike ke kauka i kēia mau mea a pau.
Pehea ʻoe e hāʻawi ai i kēia lāʻau lapaʻau?
ʻAʻole ʻo Durvalumab kahi lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He lāʻau lapaʻau ia i hāʻawi ʻia i loko o ke kino ma o kahi aʻa (infusion i loko o kahi aʻa) . Ua like ia me ka hāʻawi ʻana i ka saline, akā hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a kahi loea lapaʻau i aʻo ʻia.
Ma mua o kēlā me kēia kau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa kūikawā (MedGuide) nona ka ʻike e pili ana i kēia lāʻau lapaʻau. E heluhelu pono iā ia, no ka mea, aia i loko ka ʻike koʻikoʻi e pono ai ʻoe e ʻike.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻAʻole paha e hiki kēia no ka mea hāʻawi ʻia ia ma kahi haukapila. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
He aha inā e hala wau i kahi manawa hoʻonohonoho lāʻau lapaʻau?
He mea nui loa ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa kūpono no kēia lāʻau lapaʻau. Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hele mai i ka manawa kūpono, e kāhea koke aku i kāu kauka a e hoʻomaopopo iā lākou.
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
- Nā ʻeha maʻamau: Hiki iā ʻoe ke manaʻo iki i ka poʻo māmā a i ʻole ka poniuniu i ka wā e lawe ana i kēia lāʻau. He mea maʻamau kēia. Eia naʻe, inā ʻaʻole ʻōlelo kāu kauka iā ʻoe e hoʻōki, e hoʻomau i kāu papa hana.
- Nā hoʻāʻo koko: Ma loko o kāu mālama ʻana, pono ʻoe e loaʻa i nā hoʻāʻo koko maʻamau e ʻike ai pehea e pane ai kou kino i ka lāʻau lapaʻau.
- Hāpai a me ka hānai waiū (he mea nui loa): Pono ʻoe e pale i ka hāpai ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Inā ʻoe e hoʻolālā ana e hāpai, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau. Pono nō hoʻi ʻoe e pale i ka hānai waiū i kēia manawa.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Durvalumab ke hana i nā hopena ʻaoʻao. ʻOiai ʻaʻole loaʻa i nā kānaka a pau, hiki i kekahi o lākou ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻEha ʻōpū a me ka maʻi pākī | Ka maʻi kahe koko a wai paha, ʻeha nui o ka ʻōpū. |
| Paʻakikī ka hanu ʻana | ʻŪhū maloʻo, paʻakikī ka hanu ʻana, ʻūlū ʻana. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele. |
| Nā pilikia me nā kelepa hormonal | Hyperthyroidism: Puʻuwai wikiwiki, pohō kaumaha, hou nui, haʻalulu, hoʻomaha ʻole. Hypothyroidism: Luhi nui, hiki ʻole ke hoʻomanawanui i ke anu, ka paʻa ʻana o ka ʻōpū, ka piʻi ʻana o ke kaumaha, ka ʻili maloʻo. Hana haʻahaʻa o ka adrenal: nausea, luaʻi, nalowale o ka makemake, dizziness. |
| ʻO ka maʻi pancreatitis | ʻEha nui o ka ʻōpū e pālahalaha ana i ke kua, ʻeha e ʻoi aʻe ana ma hope o ka ʻai ʻana, ke kuni, ka nausea, a me ka luaʻi. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Kuni, anu, ʻeha ka ʻāʻī (nā hōʻailona o ka maʻi), ʻulaʻula o ka ʻili, me ka waha, ka pehu ʻana, ka ʻili ʻili, a me nā ʻāpana lymph pehu. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| Luhi | Manaʻo luhi me ke kumu ʻole. |
| Pohō lauoho | Ka lahilahi a i ʻole ka hāʻule ʻana o ka lauoho i ka wā o ka mālama ʻana. |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā loaʻa iā ʻoe kekahi mea ʻē aʻe ʻaʻole ma kēia papa inoa, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Durvalumab e hoʻoulu ai i ka ʻōnaehana pale ponoʻī o ke kino e hoʻouka i nā hunaola kanesa.
- E haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā maʻi allergies ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- Hāʻawi wale ʻia kēia lāʻau lapaʻau ma o ka intravenous ma ka haukapila. ʻAʻole ia he lāʻau lapaʻau e hiki ke lawe ʻia i ka home.
- He mea nui loa e pale i ka hāpai ʻana a me ka hānai waiū i ka wā o ka lāʻau lapaʻau a no 3 mau mahina ma hope o ka hoʻōki ʻana.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka maʻi pākī nui, ka melemele o ka ʻili, a i ʻole nā pilikia ʻili koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau.
- E kamaʻilio ākea me ke kauka e mālama ana iā ʻoe e pili ana i kekahi mau nīnau a hopohopo paha āu.
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